PATHS Final programme report: "Togetherness in Health" the Enugu ...

StrengtheningunderpinningsystemsStrengtheningunderpinningsystemsEnablingservice deliveryromoting improvedservice delivery inthe facilitiesIncreasing demandfrom communitiesEnablingservice deliveryPromoting improvedservice delivery inthe facilitiesIncreasing demandfrom communitiesSection 4:Results andImpactIncreased patientpatronageduced maternal andnfant mortality andncreased consumermand in both publicnd private managedimary and secondarycare facilitiesIncreased patientpatronageReduced maternal andinfant mortality andincreased consumerdemand in both publicand private managedprimary and secondarycare facilities“The PATHS programme has taught usa lot of things. It taught us things wedidn’t know. Drugs are now available andnot as expensive as those sold outside,equipment has been supplied, the healthcentre has been renovated. As a result ofthese changes, we have had an increasein patient turnout.”Onovo Gloria, CHEW, Agbani Health CentreDeveloping the DistrictHealth SystemStrengtheningunderpinningsystemsEnablingservice deliveryPromoting improvedservice delivery inthe facilitiesncreasing demandfrom communitiesDeveloping the DistrictHealth SystemStrengtheningunderpinningsystemsEnablingservice deliveryPromoting improvedservice delivery inthe facilitiesIncreasing demandfrom communitiesA very great deal has been achieved over thesix-year life span of the programme, with anumber of tangible benefits already evident.The first section describes some intermediateoutputs, while the second section describesincreases in utilisation and coverage. At thisstage there is limited data on outcomes (e.g.reduced maternal and infant mortality).Increased patientpatronageIncreased patientpatronageReduced maternal andinfant mortality andincreased consumerdemand in both publicand private managedprimary and secondarycare facilitiesReduced maternaland infant mortalityand increasedconsumer demandin both publicand private managedprimary and secondarycare facilities“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 65